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WO2011143359A3 - Apparatus for safe performance of transseptal technique and placement and positioning of an ablation catheter - Google Patents

Apparatus for safe performance of transseptal technique and placement and positioning of an ablation catheter Download PDF

Info

Publication number
WO2011143359A3
WO2011143359A3 PCT/US2011/036141 US2011036141W WO2011143359A3 WO 2011143359 A3 WO2011143359 A3 WO 2011143359A3 US 2011036141 W US2011036141 W US 2011036141W WO 2011143359 A3 WO2011143359 A3 WO 2011143359A3
Authority
WO
WIPO (PCT)
Prior art keywords
placement
positioning
ablation catheter
catheter
safe performance
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2011/036141
Other languages
French (fr)
Other versions
WO2011143359A2 (en
Inventor
Todd J. Cohen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
CARDIAC INVENTIONS UNLIMITED
Original Assignee
CARDIAC INVENTIONS UNLIMITED
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by CARDIAC INVENTIONS UNLIMITED filed Critical CARDIAC INVENTIONS UNLIMITED
Publication of WO2011143359A2 publication Critical patent/WO2011143359A2/en
Publication of WO2011143359A3 publication Critical patent/WO2011143359A3/en
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

Links

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61B18/14—Probes or electrodes therefor
    • A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B34/00—Computer-aided surgery; Manipulators or robots specially adapted for use in surgery
    • A61B34/70—Manipulators specially adapted for use in surgery
    • A61B34/73—Manipulators for magnetic surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00345—Vascular system
    • A61B2018/00351—Heart
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00636—Sensing and controlling the application of energy
    • A61B2018/00773—Sensed parameters
    • A61B2018/00839—Bioelectrical parameters, e.g. ECG, EEG
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0127—Magnetic means; Magnetic markers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00—Catheters; Hollow probes
    • A61M25/01—Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/0105—Steering means as part of the catheter or advancing means; Markers for positioning
    • A61M25/0133—Tip steering devices

Landscapes

  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Cardiology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Robotics (AREA)
  • Surgical Instruments (AREA)
  • Media Introduction/Drainage Providing Device (AREA)

Abstract

A steerable catheter with a deployable and retractable inner element and sensors that allows for a controlled transseptal approach. This may be coupled with a second catheter with a deployable and retractable shield designed to mate with a needle or other puncturing device from the first catheter as it extends through the atrial septum in order to prevent accidental harm to the atrium.
PCT/US2011/036141 2010-05-11 2011-05-11 Apparatus for safe performance of transseptal technique and placement and positioning of an ablation catheter Ceased WO2011143359A2 (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
US33330710P 2010-05-11 2010-05-11
US61/333,307 2010-05-11

Publications (2)

Publication Number Publication Date
WO2011143359A2 WO2011143359A2 (en) 2011-11-17
WO2011143359A3 true WO2011143359A3 (en) 2012-01-05

Family

ID=44914967

Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/US2011/036141 Ceased WO2011143359A2 (en) 2010-05-11 2011-05-11 Apparatus for safe performance of transseptal technique and placement and positioning of an ablation catheter

Country Status (2)

Country Link
US (2) US8500768B2 (en)
WO (1) WO2011143359A2 (en)

Families Citing this family (62)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8784336B2 (en) 2005-08-24 2014-07-22 C. R. Bard, Inc. Stylet apparatuses and methods of manufacture
US9649048B2 (en) 2007-11-26 2017-05-16 C. R. Bard, Inc. Systems and methods for breaching a sterile field for intravascular placement of a catheter
US8388541B2 (en) 2007-11-26 2013-03-05 C. R. Bard, Inc. Integrated system for intravascular placement of a catheter
US8781555B2 (en) 2007-11-26 2014-07-15 C. R. Bard, Inc. System for placement of a catheter including a signal-generating stylet
US9521961B2 (en) 2007-11-26 2016-12-20 C. R. Bard, Inc. Systems and methods for guiding a medical instrument
US10751509B2 (en) 2007-11-26 2020-08-25 C. R. Bard, Inc. Iconic representations for guidance of an indwelling medical device
WO2010022370A1 (en) 2008-08-22 2010-02-25 C.R. Bard, Inc. Catheter assembly including ecg sensor and magnetic assemblies
US9532724B2 (en) 2009-06-12 2017-01-03 Bard Access Systems, Inc. Apparatus and method for catheter navigation using endovascular energy mapping
EP2464407A4 (en) 2009-08-10 2014-04-02 Bard Access Systems Inc Devices and methods for endovascular electrography
WO2011068540A1 (en) 2009-12-03 2011-06-09 Therix Medical Development, Ltd. Central venous access system
CN102821679B (en) 2010-02-02 2016-04-27 C·R·巴德股份有限公司 For the apparatus and method that catheter navigation and end are located
WO2011129893A1 (en) 2010-04-13 2011-10-20 Sentreheart, Inc. Methods and devices for treating atrial fibrillation
WO2011150376A1 (en) 2010-05-28 2011-12-01 C.R. Bard, Inc. Apparatus for use with needle insertion guidance system
JP5980201B2 (en) 2010-05-28 2016-08-31 シー・アール・バード・インコーポレーテッドＣ Ｒ Ｂａｒｄ Ｉｎｃｏｒｐｏｒａｔｅｄ Insertion guidance system for needles and medical components
EP2605699A4 (en) 2010-08-20 2015-01-07 Bard Inc C R Reconfirmation of ecg-assisted catheter tip placement
WO2013101632A1 (en) * 2011-12-29 2013-07-04 Volcano Corporation Devices, systems, and methods for tissue crossings
US10092726B2 (en) 2012-02-09 2018-10-09 Bluegrass Vascular Technologies, Inc. Occlusion access system
WO2014089373A1 (en) * 2012-12-05 2014-06-12 University Of Rochester Catheter with integrated transeptal puncture needle
US9788858B2 (en) 2013-04-15 2017-10-17 Transseptal Solutions Ltd. Fossa ovalis penetration using probing elements
US12426922B2 (en) 2013-04-15 2025-09-30 Transseptal Solutions Ltd. Fossa ovalis penetration catheter
US9700351B2 (en) 2013-04-15 2017-07-11 Transseptal Solutions Ltd. Fossa ovalis penetration
US9545265B2 (en) 2013-04-15 2017-01-17 Transseptal Solutions Ltd. Fossa ovalis penetration using balloons
DE202013103504U1 (en) 2013-08-05 2013-08-21 Christian Prinz Catheter system for ablation of the septum
EP4226881A1 (en) 2013-10-31 2023-08-16 AtriCure, Inc. Device for left atrial appendage closure
ES2811323T3 (en) 2014-02-06 2021-03-11 Bard Inc C R Systems for the guidance and placement of an intravascular device
EP2918249B1 (en) 2014-03-14 2020-04-29 Venus MedTech (HangZhou), Inc. Supraclavicular catheter system for transseptal access to the left atrium and left ventricle
US9572666B2 (en) 2014-03-17 2017-02-21 Evalve, Inc. Mitral valve fixation device removal devices and methods
EP3206603B1 (en) 2014-10-14 2019-10-02 Transseptal Solutions Ltd. Fossa ovalis penetration apparatus
US10973584B2 (en) 2015-01-19 2021-04-13 Bard Access Systems, Inc. Device and method for vascular access
US9668674B2 (en) 2015-03-03 2017-06-06 Transseptal Solutions Ltd. Measurement of appendage openings
US9706982B2 (en) 2015-03-03 2017-07-18 Transseptal Solutions Ltd. Treatment of appendage openings
CN107683118A (en) * 2015-06-18 2018-02-09 艾姆瑞科医疗系统有限公司 The transseptal systems of RF of magnetic resonance compatible
WO2016210325A1 (en) 2015-06-26 2016-12-29 C.R. Bard, Inc. Connector interface for ecg-based catheter positioning system
US10398503B2 (en) 2015-10-14 2019-09-03 Transseptal Soulutions Ltd. Fossa ovalis penetration
US11000207B2 (en) 2016-01-29 2021-05-11 C. R. Bard, Inc. Multiple coil system for tracking a medical device
CA3015960A1 (en) 2016-02-29 2017-09-08 Bluegrass Vascular Technologies, Inc. Catheter systems, kits, and methods for gaining access to a vessel
US10736632B2 (en) 2016-07-06 2020-08-11 Evalve, Inc. Methods and devices for valve clip excision
US11071564B2 (en) 2016-10-05 2021-07-27 Evalve, Inc. Cardiac valve cutting device
CN114887191A (en) * 2017-02-10 2022-08-12 德克萨斯医疗中心 Transcatheter device for interatrial anastomosis
WO2018165277A1 (en) * 2017-03-08 2018-09-13 Children's National Medical Center Fluoroless vascular sheath manipulation and electrogram monitoring
CN111432875B (en) 2017-12-01 2024-04-30 心脏起搏器股份公司 Method and system for detecting atrial contraction timing reference and determining cardiac interval from ventricular implanted leadless cardiac pacemaker
WO2019108830A1 (en) 2017-12-01 2019-06-06 Cardiac Pacemakers, Inc. Leadless cardiac pacemaker with reversionary behavior
WO2019108545A1 (en) 2017-12-01 2019-06-06 Cardiac Pacemakers, Inc. Methods and systems for detecting atrial contraction timing fiducials during ventricular filling from a ventricularly implanted leadless cardiac pacemaker
WO2019165213A1 (en) 2018-02-22 2019-08-29 Medtronic Vascular, Inc. Prosthetic heart valve delivery systems and methods
EP3852622B1 (en) 2018-10-16 2025-04-02 Bard Access Systems, Inc. Safety-equipped connection systems and methods thereof for establishing electrical connections
US12102531B2 (en) 2018-10-22 2024-10-01 Evalve, Inc. Tissue cutting systems, devices and methods
US12048448B2 (en) 2020-05-06 2024-07-30 Evalve, Inc. Leaflet grasping and cutting device
US12171485B2 (en) 2020-05-06 2024-12-24 Evalve, Inc. Systems and methods for leaflet cutting using a hook catheter
US12414811B2 (en) 2020-05-06 2025-09-16 Evalve, Inc. Devices and methods for leaflet cutting
US12178444B2 (en) 2020-05-06 2024-12-31 Evalve, Inc. Clip removal systems and methods
US12171486B2 (en) 2020-05-06 2024-12-24 Evalve, Inc. Devices and methods for clip separation
US20210353356A1 (en) 2020-05-14 2021-11-18 Singlepass Transsepat, Inc. Tubular large bore transseptal crossing sheath
CA3183162A1 (en) 2020-06-19 2021-12-23 Jake Anthony Sganga Systems and methods for guidance of intraluminal devices within the vasculature
WO2022046777A1 (en) 2020-08-25 2022-03-03 Cross Vascular, Inc. Transseptal crossing system
US20220079754A1 (en) 2020-09-16 2022-03-17 Evalve, Inc. Device and procedure for mitral valve clip removal and subsequent delivery of a transcatheter mitral valve implantation
IT202100006239A1 (en) * 2021-03-16 2022-09-16 Violatech Srl EMBOLIC PROTECTIVE DEVICE
US11707332B2 (en) 2021-07-01 2023-07-25 Remedy Robotics, Inc. Image space control for endovascular tools
AU2022305235A1 (en) 2021-07-01 2024-01-18 Remedy Robotics, Inc. Vision-based position and orientation determination for endovascular tools
US12121307B2 (en) 2021-07-01 2024-10-22 Remedy Robotics, Inc. Vision-based position and orientation determination for endovascular tools
CN116407231A (en) * 2021-12-29 2023-07-11 深圳市先健呼吸科技有限公司 Conveying and puncturing device
US12342998B2 (en) * 2022-04-29 2025-07-01 Coherex Medical, Inc. Sensor enabled left atrial appendage occlusion system for three-dimensional imaging and method thereof
CN116687554A (en) * 2023-07-04 2023-09-05 唐瑜珅 Room radio frequency puncture system

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020107531A1 (en) * 2001-02-06 2002-08-08 Schreck Stefan G. Method and system for tissue repair using dual catheters
US20060058737A1 (en) * 2004-09-16 2006-03-16 Herweck Steve A Catheter treatment stylet
US20060252993A1 (en) * 2005-03-23 2006-11-09 Freed David I Medical devices and systems
US20080140073A1 (en) * 2003-04-29 2008-06-12 Yitzhack Schwartz Transseptal facilitation using sheath with electrode arrangement

Family Cites Families (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5211638A (en) * 1988-01-25 1993-05-18 Baxter International Inc. Pre-slit injection site
US6071274A (en) * 1996-12-19 2000-06-06 Ep Technologies, Inc. Loop structures for supporting multiple electrode elements
US5848997A (en) * 1996-03-15 1998-12-15 Becton Dickinson And Company Disconnect for medical access devices
US7121997B2 (en) * 1999-06-09 2006-10-17 Ethicon, Inc. Surgical instrument and method for treating female urinary incontinence
US7056294B2 (en) * 2000-04-13 2006-06-06 Ev3 Sunnyvale, Inc Method and apparatus for accessing the left atrial appendage
US7316679B2 (en) * 2001-01-22 2008-01-08 Venetec International, Inc. Medical device connector fitting
US6676694B1 (en) * 2002-06-06 2004-01-13 Mitchell Weiss Method for installing a stent graft
WO2005046487A1 (en) * 2003-11-06 2005-05-26 Nmt Medical, Inc. Transseptal puncture apparatus
US7678081B2 (en) * 2004-07-12 2010-03-16 Pacesetter, Inc. Methods and devices for transseptal access
US7963915B2 (en) * 2004-10-15 2011-06-21 Baxano, Inc. Devices and methods for tissue access
US8657814B2 (en) * 2005-08-22 2014-02-25 Medtronic Ablation Frontiers Llc User interface for tissue ablation system
JP4971728B2 (en) * 2006-08-31 2012-07-11 日本コヴィディエン株式会社 Connector connection structure
US8388549B2 (en) * 2008-12-29 2013-03-05 St. Jude Medical, Atrial Fibrillation Division, Inc. Anatomical thermal sensing device and method
US20110208215A1 (en) * 2009-09-22 2011-08-25 Modesitt D Bruce Devices, methods, and kits for forming tracts in tissue
US9561021B2 (en) * 2010-05-06 2017-02-07 Boston Scientific Scimed, Inc. Method and system for intracavitary and extracavitary procedures

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20020107531A1 (en) * 2001-02-06 2002-08-08 Schreck Stefan G. Method and system for tissue repair using dual catheters
US20080140073A1 (en) * 2003-04-29 2008-06-12 Yitzhack Schwartz Transseptal facilitation using sheath with electrode arrangement
US20060058737A1 (en) * 2004-09-16 2006-03-16 Herweck Steve A Catheter treatment stylet
US20060252993A1 (en) * 2005-03-23 2006-11-09 Freed David I Medical devices and systems

Also Published As

Publication number Publication date
US20120065597A1 (en) 2012-03-15
US20150335383A9 (en) 2015-11-26
US8500768B2 (en) 2013-08-06
WO2011143359A2 (en) 2011-11-17
US20150038962A1 (en) 2015-02-05

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